Individual
DR. TRAC M. DUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1231 116TH AVE NE, SUITE 915, BELLEVUE, WA 98004-3804
(425) 454-3938
(425) 454-2568
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
52979
MN
207Y00000X
Otolaryngology Physician
A87603
CA
207Y00000X
Otolaryngology Physician
Primary
MD60340252
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0314742
LABOR & INDUSTRIES
WA
01
—
G8921375
MEDICARE PTAN
WA
Enumeration date
09/13/2007
Last updated
10/07/2014
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